Drug Revolving Fund (DRF), is a system
whereby the revenue generated from the sale of
drugs to patients is used to purchase new drugs
and ensure availability, effective and efficient
The aim of DRF is to provide safe and quality
drugs at affordable prices and is usually part of
the wider user charge scheme.
In DRF, seed money provided by the government,
donor agencies or interested communities is used
to purchase an original stock of essential and
commonly used medicines to be dispensed at
prices sufficient to replace the stock of medicines
and ensures a continuous supply.
DRF was adopted in 1988 with financial and
technical support from donor and support
agencies like the World Health Organization
(WHO), United Nations Children’s Fund, and the
United Kingdom Departments for International
Many governments, nongovernmental organizations,
and community health programs have implemented
user fees to fund or partially fund the cost of
pharmaceuticals or other health services.
Many different types of DRF exist, their common
element is that fees are charged for medicine
DRF is very necessary in health care delivery in
developing countries because essential medicines are
critical to effective preventive and curative care
Patients spend more money buying pharmaceuticals,
but spend less through DRF and have increased value
of drugs of which they have paid for as evidenced by
improved level of adherence.
Patients perceive increased availability of medicines
and other pharmaceuticals as real improvement in the
quality of care, and are willing to pay for the
pharmaceuticals within their resources.
Regular supply of drugs in health care facilities is one
of the major hallmarks of an efficient health care
system in both the perspective of patients, care
providers, and policy makers.
DRF linked to essential drug has improved
efficiency of pharmaceutical services, increased
revenue, and price awareness by prescribers and
patents and will result to improved and rational
use of medicines.
DRF needs commitment to the public health
goals and should incorporate planning,
implementation and management principles .